Organization
COMMUNITY FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA SINIAVER DMD (MEMBER)
(617) 512-7007
Entity
Organization
Contact information
Practice address
644 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3901
(617) 553-8100
(617) 321-4023
Mailing address
644 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3901
(617) 553-8100
(617) 321-4023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20118
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200697
MASSHEALTH NUMBER
MA
Enumeration date
07/23/2009
Last updated
07/23/2009
Update your record
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